| NPI | 1679879571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: CO NP-990139) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 188050) |
| Enumeration Date | 2011-02-10 |
| Last Update Date | 2014-07-31 |